• Utilization Management Admissions Liaison…

    LA Care Health Plan (Los Angeles, CA)
    …- Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association ... Utilization Management Admissions Liaison RN II ...setting. Previous experience to have a strong understanding of Utilization Management/ Case Management practices including, but not… more
    LA Care Health Plan (10/03/25)
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  • Discharge Planner II (LVN)…

    Prime Healthcare (San Dimas, CA)
    …of the Case Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the discharge plan. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications. 1. Knowledge in discharge planning/ utilization management/ case management terminology and functions, in… more
    Prime Healthcare (11/16/25)
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  • RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn- case - manager ... accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred.… more
    Prime Healthcare (10/16/25)
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  • Case Manager II , Registered…

    Sutter Health (Burlingame, CA)
    …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
    Sutter Health (10/30/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Walnut Creek, CA)
    …insightful analytics to improve the delivery of care. **Title:** Behavioral Health Care Manager II **Locations:** CA - Cerritos, Walnut Creek, Woodland Hills ... granted as required by law. The **Behavioral Health Care Manager II ** is responsible for managing psychiatric...there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range… more
    Elevance Health (11/21/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior ...of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management, Care Management, Clinical Case Management,… more
    LA Care Health Plan (09/16/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Costa Mesa, CA)
    …and insightful analytics to improve the delivery of care. **Behavioral Health Care Manager II - ABA** Location: **Virtual** - This role enables associates ... 8:00 am to 5:00 pm** The **Behavioral Health Care Manager II ** is responsible for managing autism...a requirement for this position. + Previous experience in case management/ utilization management with a broad range… more
    Elevance Health (11/19/25)
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  • Care Manager II , Acute (RN)

    Sutter Health (Oakland, CA)
    …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... **CERTIFICATION & LICENSURE** + RN-Registered Nurse of California Required + Certified Case Manager (CCM) Preferred. **EXPERIENCE** + Minimum of 2 years… more
    Sutter Health (10/24/25)
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  • Case Manager

    Stanford Health Care (Palo Alto, CA)
    Manager Professional Development Program. Here is a description of the various levels: Level I: Case Manager Level II : Advanced Case Manager Level ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more
    Stanford Health Care (11/11/25)
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  • Care Management Specialist II , D-SNP Team…

    LA Care Health Plan (Los Angeles, CA)
    …Social Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager ... Care Management Specialist II , D-SNP Team (12 month Assignment) Job Category:...skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and… more
    LA Care Health Plan (10/21/25)
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